2017
DOI: 10.1902/jop.2017.170023
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Periodontitis and Endothelial Dysfunction: Periodontal Clinical Parameters and Levels of Salivary Markers Interleukin‐1β, Tumor Necrosis Factor‐α, Matrix Metalloproteinase‐2, Tissue Inhibitor of Metalloproteinases‐2 Complex, and Nitric Oxide

Abstract: Periodontitis was positively associated with ED, expressed by a smaller percentage of FMD of the brachial artery and higher salivary levels of MMP-2/TIMP-2 complex. Additionally, salivary levels of NO were significantly associated with better functioning of the vascular endothelium.

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Cited by 42 publications
(43 citation statements)
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References 49 publications
(106 reference statements)
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“…Furthermore, higher NGAL levels in local samples, that is, gingival crevicular fluid (GCF), were reported in patients with periodontitis (Pradeep, Nagpal, Karvekar, & Patnaik, ). The present salivary NGAL data are therefore intriguing and warrant further study, but it is remarkable that conflicting data also exist for other salivary inflammatory markers in periodontitis, for example, with increased (Lee et al, ) or similar (Moura et al, ) salivary levels of IL‐1β compared to healthy controls. While the main contributor to salivary proteins is the circulation, with proteins shed from local oral surfaces playing a lesser role (Lynge Pedersen & Belstrom, ), disease‐specific mechanisms are likely to be involved, for example, with periodontitis‐dependent increased expression of inflammatory mediators in the inflamed oral tissue potentially being countered by increased local tissue binding or other interactions that contribute to unpredictability of salivary levels of these molecules.…”
Section: Discussionmentioning
confidence: 72%
“…Furthermore, higher NGAL levels in local samples, that is, gingival crevicular fluid (GCF), were reported in patients with periodontitis (Pradeep, Nagpal, Karvekar, & Patnaik, ). The present salivary NGAL data are therefore intriguing and warrant further study, but it is remarkable that conflicting data also exist for other salivary inflammatory markers in periodontitis, for example, with increased (Lee et al, ) or similar (Moura et al, ) salivary levels of IL‐1β compared to healthy controls. While the main contributor to salivary proteins is the circulation, with proteins shed from local oral surfaces playing a lesser role (Lynge Pedersen & Belstrom, ), disease‐specific mechanisms are likely to be involved, for example, with periodontitis‐dependent increased expression of inflammatory mediators in the inflamed oral tissue potentially being countered by increased local tissue binding or other interactions that contribute to unpredictability of salivary levels of these molecules.…”
Section: Discussionmentioning
confidence: 72%
“…Periodontitis is known to be one of the main risk factors of several diseases, such as diabetes, CVD events, and endothelial dysfunction [27][28][29]. Moura et al [30] evaluated, in a cross-sectional study, 47 patients with and without periodontitis and found that patients with periodontitis presented a significantly higher endothelial dysfunction risk than individuals without periodontitis.…”
Section: Discussionmentioning
confidence: 99%
“…Main cell mediators are histamine, serotonin, eicosanoids, free radicals, cytokines, substance P, neurokinin, and enzymes involved in tissue destruction [13][14][15]. Bunte and Beikler recently reviewed periodontal immunity (2019) [16]. Briefly, the innate immune system activates phagocytosis, the complement system and the adaptative, immune system which is antigen-dependant and mediated by B and T cells.…”
Section: Introductionmentioning
confidence: 99%